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Kansas rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $4.91 / $4.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $2.37 / $4.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.51 / $4.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.67 / $6.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $3.84 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.21 / $5.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.00 / $3.14